Simon, Russell
Simon, Russell is an sole proprietor health care provider with primary practice located at 4050 Airport Center Dr Ste B2 , Palm Springs CA 92264-1216. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Simon, Russell can be contacted via phone (760) 674-7188.Contact Information
Primary practice address
4050 Airport Center Dr Ste B2
Palm Springs CA 92264-1216
Phone: (760) 674-7188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21536 | California |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 21536 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21536 | California |
Profile Details
NPI number | 1659624948 |
---|---|
LBN Legal business name | Simon, Russell |
Credentials | DNP, NP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2012 |
Last updated | Aug 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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